辅助性电休克治疗合并重度抑郁症、创伤后应激障碍和神经性厌食症患者——一例报告
Adjunctive electroconvulsive therapy in the treatment of a patient with comorbid major depressive disorder, posttraumatic stress disorder, and anorexia nervosa - a case report.
作者信息
Kuc Agnieszka, Stachura Albert, Jażdżyk Piotr, Grzelińska Joanna, Święcicki Łukasz
机构信息
II Psychiatric Department, Institute of Psychiatry and Neurology, Warsaw, Poland.
Center for Preclinical Research, Department of Methodology, Medical University of Warsaw, Poland.
出版信息
Postep Psychiatr Neurol. 2024 Mar;33(1):43-48. doi: 10.5114/ppn.2024.135531. Epub 2024 Mar 14.
PURPOSE
Posttraumatic stress disorder (PTSD) is still-underdiagnosed and often accompanied by other psychiatric disorders affecting treatment and outcomes.
CASE DESCRIPTION
Here we present a case report of a 28-year-old female patient with comorbid PTSD, major depressive disorder (MDD), and anorexia nervosa (AN). The patient had been treated with various medications and attended trauma-focused psychotherapy. Because none of these treatments yielded satisfying improvement, the patient was referred for electroconvulsive therapy (ECT). We had to overcome challenges such as the patient's false assumptions about ECT, the simultaneous use of benzodiazepines and the management of the side effects of ECT. The symptoms of MDD and PTSD improved after 12 treatment sessions.
COMMENT
Our report suggests that ECT may be a safe and effective method for treating patients with PTSD and comorbid MDD and AN.
目的
创伤后应激障碍（PTSD）仍未得到充分诊断，且常伴有其他精神障碍，影响治疗及预后。
病例描述
在此，我们报告一例28岁女性患者，合并创伤后应激障碍、重度抑郁症（MDD）和神经性厌食症（AN）。该患者曾接受多种药物治疗，并接受了以创伤为重点的心理治疗。由于这些治疗均未取得令人满意的改善，患者被转诊接受电休克治疗（ECT）。我们必须克服诸多挑战，如患者对电休克治疗的错误认知、同时使用苯二氮䓬类药物以及电休克治疗副作用的管理等。经过12次治疗后，重度抑郁症和创伤后应激障碍的症状有所改善。
评论
我们的报告表明，电休克治疗可能是治疗创伤后应激障碍合并重度抑郁症和神经性厌食症患者的一种安全有效的方法。
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